Epicondylitis

Rest is the treatment of choice when the pain first appears. If the pain is severe, short term immobilisation of the arm in a splint may be helpful in some patients. This rest aims to allow the tiny tears in the tendon attachment to heal. Non-specific symptomatic treatments that can be used include non-steroidal anti-inflammatory drugs (NSAIDs),heat or ice. A counter-force brace or “tennis elbow strap” to reduce strain at the elbow can help to limit pain and to protect against further damage. Physiotherapy, including a program of stretching, strengthening and local tissue massage may also provide some benefit.

In cases which fail to resolve with other treatment modalities surgery may be indicated. Many techniques have been described. Most aim to release the strain on the affected muscle origin, remove degenerative tissue and promote healing.